Licensed Nursing Home Administrator
Administration & Operations
2-5 years
State licensure required + national exam and a field experience practicum program typically required;
$59-$68/hr
Interested in this role?
Match with employers with Licensed Nursing Home Administrator opportunities.
Overview
Job Description
The Licensed Nursing Home Administrator — also recognized by the Health Services Executive (HSE) credential — is responsible for everything: staffing, budgets, regulatory compliance, care quality, resident satisfaction, family relationships, and the culture that determines whether a community is a place people feel proud to call home.
LNHAs/HSEs oversee the full operation of a licensed facility, collaborating closely with the Director of Nursing, department heads, and clinical staff to ensure high-quality care and a thriving community. They serve as the primary liaison with state regulators, manage the facility’s financial performance, and are ultimately accountable for both care outcomes and operational results.
The HSE credential, offered through the National Association of Long-Term Care Administrator Boards (NAB), is also recognized as a licensing category in the State of Minnesota for both nursing facility and assisted living settings — providing flexibility across care environments.
Education Requirements
Becoming a Licensed Nursing Home Administrator in Minnesota requires completing a bachelor’s degree, completing a state-approved Administrator in Training (AIT) program, and passing the national licensing exam. Minnesota has specific licensure requirements through the Minnesota Department of Health. The Health Services Executive (HSE) credential from NAB is also available and recognized for both nursing facility and assisted living leadership.
Resources
Education Programs for Nursing Home Administrators | BELTSS
Accredited Education Programs for Becoming a Health Service Executive | BELTSS
MN Board of Executives for Long Term Services and Supports (BELTSS)
A Day In This Role
A day might begin with reviewing overnight reports and touching base with the charge nurse, followed by a department head meeting covering staffing, maintenance, and upcoming compliance deadlines. Mid-morning might include a family meeting on a resident care concern, then time with the business office on billing and financials. Afternoons often involve walking the community, meeting with state surveyors or reviewing survey readiness, and one-on-ones with department leaders.
Advancement Opportunities: Where this role can take you
Cross-Pathway Note: LNHAs are well-positioned for C-suite and multi-site executive leadership. Some also move into association, policy, or advocacy roles — applying their operational expertise at the sector level to improve aging services across Minnesota.